Identification of an erm(A) erythromycin resistance methylase gene in Streptococcus pneumoniae isolated in Greece

G A Syrogiannopoulos1, I N Grivea, A Tait-Kamradt

  • 1Department of Pediatrics, General University Hospital, University of Patras, School of Medicine, Patras, Greece. syrogian@med.upatras.gr

Insights

Erythromycin resistance in Streptococcus pneumoniae is linked to the erm(A) gene, a first for this bacterium. This finding impacts understanding of antibiotic resistance mechanisms in pneumococci.

Area of Science:

  • Microbiology
  • Genetics
  • Infectious Diseases

Background:

  • Streptococcus pneumoniae is a significant human pathogen.
  • Antibiotic resistance in S. pneumoniae is a growing public health concern.
  • Erythromycin resistance is often mediated by methylase genes.

Purpose of the Study:

  • To identify the genetic basis of erythromycin resistance in a specific S. pneumoniae clone.
  • To characterize the erm(A) gene in pneumococci.

Main Methods:

  • Isolation of erythromycin-resistant Streptococcus pneumoniae serotype 11A from Greek carriers.
  • Nucleotide sequencing to identify the resistance gene.
  • Phenotypic characterization of macrolide and clindamycin resistance.

Main Results:

  • The erm(A) methylase gene was identified in the erythromycin-resistant S. pneumoniae.
  • Pneumococci carrying erm(A) exhibited resistance to 14- and 15-member macrolides.
  • Inducible clindamycin resistance and susceptibility to streptogramin B were observed.

Conclusions:

  • This is the first report of erythromycin resistance in S. pneumoniae solely due to the erm(A) gene.
  • The erm(A) gene contributes to macrolide-Streptogramin B resistance phenotypes in pneumococci.
  • Findings highlight the genetic diversity of antibiotic resistance mechanisms in S. pneumoniae.